msa_guide

Medicare Set-Aside Decision Guide

Service Excellence Since 1981

SERVICES

RN CASE MANAGEMENT
VOCATIONAL/RTW
PREAUTHORIZATION
PEER REVIEW
MEDICAL BILL REVIEW
LIFE CARE PLANNING
CONSULTING

BACK TO MSA SERVICES

Does your settlement require an MSA? What about CMS approval?

Refer to the table below for general guidelines about which cases fit the criteria requiring a Medicare Set-Aside Arrangement, and which will require approval by CMS. The Medicare status is as of the date of the settlement.

Medicare Status	Total Settlement	MSA Required?	CMS Approval?
Entitled now	Under $25K	Yes	No
Entitled now	Over $25K	Yes	Yes
Within 30 mos.	Under $250K	Yes	No
Within 30 mos.	Over $250K	Yes	Yes
Not in 30 mos.	Under $250K	No	No
Not in 30 mos.	Over $250K	No	No

To inquire about Systemedic's MSA services, call 501.227.5553 or 800.822.2680, or email MSA@systemedic.com .